HOPE Score (Hypothermia Outcome Prediction after ECLS)
Probability of survival to hospital discharge after extracorporeal life support (ECLS) rewarming for cardiac arrest from accidental hypothermia. Not for normothermic cardiac arrest.
Score interpretation
Survival probability below the 10 % cut-off (negative predictive value 97 % on external validation).
→ ECLS rewarming is unlikely to succeed; decide with the senior team in the full clinical context.
Survival probability at or above the 10 % cut-off used to select patients for ECLS rewarming.
→ Continue CPR and transfer to / activate an ECLS centre for rewarming.
Interpretation bands for the HOPE Score. Apply clinical judgement and local guidance.
References
- Pasquier M, et al. Hypothermia outcome prediction after extracorporeal life support for hypothermic cardiac arrest patients: the HOPE score. Resuscitation. 2018;126:58-64.
- Pasquier M, et al. Hypothermia outcome prediction after extracorporeal life support for hypothermic cardiac arrest patients: an external validation of the HOPE score. Resuscitation. 2019;139:321-328.
Related
Curated clinical cross-links plus same-class fallbacks.
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.